CLIA lab
CLIA 11D1066586: Kroger Pharmacy #011-638
Jefferson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1066586 belongs to Kroger Pharmacy #011-638 in Jefferson, GA.
Certificate of Waiver, effective March 28, 2025, expires March 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 28, 2025
- Certificate expiration
- March 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2007
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1066586
- Lab name
- Kroger Pharmacy #011-638
- Address
- 1685 Old Pendergrass Road, Jefferson, GA 30549
- Phone
- (706) 387-7620
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jefferson, GA
- Ball PediatricsCertificate of Waiver, Physician office11D2327052
- Bart Richards DO Family MedicineCertificate of Waiver, Physician office11D0993603
- Exacta Medical ResearchCertificate of Waiver, Other11D2344806
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2281547
- Jackson County Emergency ServicesCertificate of Waiver, Ambulance11D2202968
- Jackson County JailCertificate of Waiver, Other11D2276511
- Jackson County School SystemCertificate of Waiver, School or student health service11D2286159
- Jefferson City SchoolsCertificate of Waiver, School or student health service11D2265492
- Jefferson DrugsCertificate of Waiver, Pharmacy11D2184309
- Jefferson Pediatrics IncCertificate of Compliance, Physician office11D0954160
Related
Questions
What is the CLIA number for Kroger Pharmacy #011-638 in Jefferson?
11D1066586, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #011-638 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1066586 expire?
The CMS file lists March 27, 2027 as the certificate expiration date; the certificate took effect March 28, 2025.